Individual provider Active NPI

Erica Elizabeth Adams, DC

  • Chiropractor
  • Port Orange, FL
National Provider Identifier
1003558982
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH13939 Issued in FL
Practice address
4904 Clyde Morris Blvd Ste a
Port Orange, FL 32129-9656
Phone
(386) 307-8207
NPI assigned
Apr 11, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13939 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

4904 Clyde Morris Blvd Ste a
Port Orange, FL 32129-9656

Mailing address

4904 Clyde Morris Blvd Ste a
Port Orange, FL 32129-9656
Phone (386) 307-8207

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2022.

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1003558982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 CLYDE MORRIS BLVD STE A",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321299656",
            "telephone_number": "386-307-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 CLYDE MORRIS BLVD STE A",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321299656",
            "telephone_number": "386-307-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "ERICA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.